Evaluation of a novel question prompt list in pediatric surgical oncology

Erica M. Carlisle; Laura A. Shinkunas; Maxwell T. Lieberman; Richard M. Hoffman; Heather Schacht Reisinger

doi:10.1016/j.jss.2023.07.029

Back

Evaluation of a novel question prompt list in pediatric surgical oncology

Journal article

Peer reviewed

Evaluation of a novel question prompt list in pediatric surgical oncology

Erica M. Carlisle, Laura A. Shinkunas, Maxwell T. Lieberman, Richard M. Hoffman and Heather Schacht Reisinger

The Journal of surgical research, Vol.292, pp.44-52

08/12/2023

DOI: 10.1016/j.jss.2023.07.029

PMCID: PMC10592310

PMID: 37579715

Files and links (1)

url

https://pmc.ncbi.nlm.nih.gov/articles/PMC10592310/pdf/nihms-1920123.pdfView

Open Access

Abstract

Parents of children with cancer describe interactions with clinicians as emotionally distressing. Patient engagement in treatment discussions decreases decisional conflict and improves decision quality which may limit such distress. We have shown that parents prefer to engage surgeons by asking questions, but parents may not know what to ask. Question Prompt Lists (QPLs), structured lists of questions designed to help patients ask important questions, have not been studied in pediatric surgery. We developed a QPL designed to empower parents to ask meaningful questions during pediatric surgical oncology discussions. We conducted a mixed methods analysis to assess the acceptability, appropriateness, and feasibility of using the QPL. Key stakeholders at an academic children’s hospital participated in focus groups to discuss the QPL. Focus groups were recorded and transcribed. Participants were surveyed regarding QPL acceptability, appropriateness, and feasibility. Thematic content analysis of transcripts was performed. Four parents, 5 nurses, 5 nurse practitioners, 5 oncologists, and 4 surgeons participated. Seven key themes were identified: (1) QPL as a tool of empowerment; (2) stick to the surgical details; (3) QPLs can impact discussion quality; (4) time consuming, but not overly disruptive; (5) parental emotion may impact QPL use; (6) provide QPLs prior to surgical consultation in both print and digital formats; and (7) expansion of QPLs to other disciplines. Over 70% of participants agreed that the QPL was acceptable, appropriate, and feasible. Our novel QPL is acceptable, appropriate, and feasible to use with parents of pediatric surgical oncology patients.

Pediatric Surgery

cancer

decision making

question prompt list

Details

Title: Subtitle: Evaluation of a novel question prompt list in pediatric surgical oncology
Creators: Erica M. Carlisle - University of Iowa
Laura A. Shinkunas - University of Iowa
Maxwell T. Lieberman - University of Iowa
Richard M. Hoffman - University of Iowa
Heather Schacht Reisinger - University of Iowa
Resource Type: Journal article
Publication Details: The Journal of surgical research, Vol.292, pp.44-52
DOI: 10.1016/j.jss.2023.07.029
PMID: 37579715
PMCID: PMC10592310
NLM abbreviation: J Surg Res
ISSN: 0022-4804
eISSN: 1095-8673
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100008893, name: University of Iowa; DOI: 10.13039/100000002, name: National Institutes of Health; DOI: 10.13039/100000048, name: American Cancer Society, award: IRG – 18-165-43; DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences, award: UL1TR002537
Language: English
Date published: 08/12/2023
Academic Unit: Medical Ethics; Stead Family Department of Pediatrics; Surgery; Center for Social Science Innovation; General Internal Medicine; Internal Medicine
Record Identifier: 9984455492102771

Metrics

5 Record Views

4 Times Cited - Web of Science